Next Article in Journal
Frontal Cortex Transcriptome Analysis of Mice Exposed to Electronic Cigarettes During Early Life Stages
Previous Article in Journal
Antibacterial Applications of Nanodiamonds
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2016, 13(4), 416; doi:10.3390/ijerph13040416

Which Environmental Factors Have the Highest Impact on the Performance of People Experiencing Difficulties in Capacity?

1
Department of Medical Informatics, Biometry and Epidemiology–IBE, Ludwig-Maximilians-University (LMU), Munich 81377, Germany
2
Swiss Paraplegic Research, Nottwil 6207, Switzerland
3
Blindness and Deafness Prevention, Disability and Rehabilitation (BDD), World Health Organization, Geneva 1211, Switzerland
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 11 February 2016 / Revised: 5 April 2016 / Accepted: 7 April 2016 / Published: 12 April 2016
View Full-Text   |   Download PDF [464 KB, uploaded 18 April 2016]   |  

Abstract

Disability is understood by the World Health Organization (WHO) as the outcome of the interaction between a health condition and personal and environmental factors. Comprehensive data about environmental factors is therefore essential to understand and influence disability. We aimed to identify which environmental factors have the highest impact on the performance of people with mild, moderate and severe difficulties in capacity, who are at risk of experiencing disability to different extents, using data from a pilot study of the WHO Model Disability Survey in Cambodia and random forest regression. Hindering or facilitating aspects of places to socialize in community activities, transportation and natural environment as well as use and need of personal assistance and use of medication on a regular basis were the most important environmental factors across groups. Hindering or facilitating aspects of the general environment were the most relevant in persons experiencing mild levels of difficulties in capacity, while social support, attitudes of others and use of medication on a regular basis were highly relevant for the performance of persons experiencing moderate to higher levels of difficulties in capacity. Additionally, we corroborate the high importance of the use and need of assistive devices for people with severe difficulties in capacity. View Full-Text
Keywords: environmental factors; international classification of functioning; disability and health; disability evaluation (MeSH); data collection (MeSH); health surveys (MeSH); capacity; performance; random forest environmental factors; international classification of functioning; disability and health; disability evaluation (MeSH); data collection (MeSH); health surveys (MeSH); capacity; performance; random forest
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Loidl, V.; Oberhauser, C.; Ballert, C.; Coenen, M.; Cieza, A.; Sabariego, C. Which Environmental Factors Have the Highest Impact on the Performance of People Experiencing Difficulties in Capacity? Int. J. Environ. Res. Public Health 2016, 13, 416.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top